OrganizationActive
1810 Concord Lake Road Opco LLC
NPI 1114735156 · Skilled Nursing Facility · Kannapolis, NC
Provider details
- NPI number
- 1114735156
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Tiffany Hoback, Manager
Practice location
1810 Concord Lake Rd
Kannapolis, NC 28083-6434
Phone: (704) 933-3781
Fax: (704) 933-5002
Mailing address
1810 Concord Lake Rd
Kannapolis, NC 28083-6434
Registry dates
- Enumerated
- 2024-12-23
- Last updated
- 2025-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.